Stapes surgery results: The recent experience of Hospital Professor Doutor Fernando Fonseca

Authors

  • Leonel Barbosa Interno de Formação Específica do Serviço de ORL do Hospital Professor Doutor Fernando Fonseca
  • Eurico Costa Interno de Formação Específica do Serviço de ORL do Hospital Professor Doutor Fernando Fonseca
  • Ana Guimarães Assistente Hospitalar do Serviço de ORL do Hospital Professor Doutor Fernando Fonseca
  • Gabão Veiga Director de Serviço do Serviço de ORL do Hospital Professor Doutor Fernando Fonseca

DOI:

https://doi.org/10.34631/sporl.615

Keywords:

otosclerosis, stapedectomy, results, audiometric

Abstract

Objective: analyze the recent experience in stapes surgery of Hospital Professor Doutor Fernando Fonseca through the evaluation of its audiometric results.

Materials and methods: retrospective evaluation of clinical records concerning 155 consecutive stapes surgeries performed in Hospital Professor Doutor Fernando Fonseca between January 2006 and December 2010.

Results: the mean age was 43,6 years. The mean 4-frequency (0.5, 1, 2 and 4 kHz) postoperative air-bone gap was 5,2 dB. The mean hearing gain obtained was 27 dB and the surgical success rate was 88,2%.The bone conduction variation in high frequencies was 4,9 dB.

Conclusion: stapes surgery has a high success rate and a low complication rate, and is a preferential treatment for otosclerosis. Our results confirm that tendency, supporting the use of stapes surgery in Hospital Professor Doutor Fernando Fonseca.

References

HouseHP: The evolution of otosclerosis surgery. Otolaryngol Clin North Am 1993, 26: 323-333.

Han WW, Incesulu A, McKenna MJ et al. Revision stapedectomy: intraoperative findings, results and review of the literature. Laryngoscope 1997; 107: 1185–1192.

Becky L. Massey, Kennedy RJ, Shelton C. Stapedectomy Outcomes: Titanium versus Teflon Wire Prosthesis. Laryngoscope February 2005; 115: 249-252

Kerr JT, Esquivel C. Stapedectomy: fenestration versus partial or complete footplate removal. Op Tech Otol. Head Neck Surg, Dec 2003; 14 (4): 252-254.

Lippy WH, Berenholz LP et al. Otosclerosis in the 1960s, 1970s, 1980s and 1990s. Laryngoscope, 1999; 109: 1307-1309.

Comittee on hearing and equilibrium guidelines for the evaluation of results of tratment of conductive hearing loss. Otolaryngol Head Neck Surg 1995, 113 (3): 186-187.

Guimarães A, Hebe A, Freire F, Veiga G. Cirurgia estapédica na otosclerose: análise retrospectiva de resultados. Rev Port Otorrinolaringol Cir Cervico Facial. 2012; 48(4):177-180

Bulman CH. Audit of stapedectomy in the north west of England for 1996 and an analysis of the criteria used to describe success. Cain Otolaryngol 2000; 25: 542-546.

Shea JJ: Stapedectomy – A long-term report. Ann Otol Rhinol Laryngol 1982; 91: 516-520.

Sedwick JD, Lauden CL, Shelton C. Stapedectomy vs. stapedotomy: do you really need a LASER? Arch Otolaryngol Head Neck Surg, 1997;123: 177-180.

Somers T, Govaerts P, De Varebeke SJ et al. Revision stapes surgery. J Laryngol Otol 1997; 111: 233-239.

Leighton SEJ, Robson AK, Freeland AP. Audit of stapedectomy results in a teaching hospital. Clini Otolaryngol 199; 16: 488-492.

Smyth GDL. Otosclerosis. In Scott Brown’s Otolaryngology, 6th edn,. Butterworth-Heinemann, Oxford. pp.3, 14, 1-35

Smyth GDL. Recent and future trends in the management of otosclerotic conductive hearing loss. Clin Otolaryngol. 1982; 7: 153-160.

Hammond V. The indications for stapedectomy. J Laryngol Otol. 1976; 90: 23-30.

Harvey AS. Stapedectomy: LASER versus drill versus the use of pick instruments. Op Tech Otol. Head Neck Surg 2003; 14 (4): 255-262.

Berliner KI, Doyle KJ, Goldberg RA. Reporting operative hearing results in stapes surgery: does choice of outcome measure make a difference? Am J Otol. 1996; 17 (4): 521-528.

Browning GG. Otosclerosis. Clinical Otology and Audiology, 2nd edn,. Butterworth-Heinemann, Oxford. pp. 101-103.

Persson P, Harder H, MagnusonB. Hearing results in otosclerosis surgery after partial stapedectomy, total stapedectomy and stapedotomy. Acta Otolaryngol (Stockh) 1997; 117: 94-99.

Kursten R, Schneider B, Zruknek M. Long term results after estapedectomy versus stapedotomy. Am J Otolarungol 1994; 15 (6):804-806.

Glasscock ME III, Mckennan KX, Levine SC: Revision stapedectomy surgery. Otolaryngol Head Neck Surg 1987; 96: 141-148.

How to Cite

Barbosa, L., Costa, E., Guimarães, A., & Veiga, G. (2016). Stapes surgery results: The recent experience of Hospital Professor Doutor Fernando Fonseca. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 53(4), 235–239. https://doi.org/10.34631/sporl.615